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LAND800 1 .
<br />CERTIFICATE OF LIABILITY INSURANCE DATEIMWDDK(YY)
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy([OS) must have ADDITIONAL INSURED Provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain pollCies may require an endorsement
<br />this certificate does not confer rights. to the certificate holder in lieu. of such endnreomnnfla1 . A statement on
<br />Svcs, Inc.
<br />beet
<br />COVERAGES C�FRTIFI AT NUMBER:
<br />I Tu REVISION NUMBER:
<br />INDICATED,
<br />CERTIFICATE
<br />EXCLUSIONS
<br />INSR
<br />._ ..vvv
<br />NOTWITHSTANDING O ANY REQUIREMENT,
<br />MAY BE ISSUED OR MAY
<br />AND CONDITIONS OF SUCH
<br />TYPE OF INSURANCE
<br />PERTAIN,
<br />POLICIES.
<br />D LSUER
<br />n m U=N
<br />TERM OR CONDITION OF ANY
<br />THE INSURANCE AFFORDED BY
<br />LIMITS SHOWN MAY HAVE BEEN
<br />POLICYNUMBER
<br />Isaut;U TO
<br />CONTRACT
<br />THE POLICIES
<br />REDUCED BY
<br />POLICY EFF
<br />04/01/2020
<br />THE INSURED
<br />OR OTHER
<br />DESCRIBED
<br />PAID CLAIMS.
<br />POLICY E%P
<br />04/0112021
<br />NAMED ABOVE FOR THE
<br />DOCUMENT WITH RESPECT
<br />HEREIN IS SUBJECT TO
<br />LIMITS
<br />EACHOCCURRENCE
<br />poaMAGETORENTED
<br />POLICY PERIOD
<br />70 WHICH THIS
<br />ALL THE TERMS,
<br />; 1,0 0,000
<br />300,000
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />culMs-MACE OX OccUR
<br />X
<br />72UUNOK7437
<br />_
<br />EDE P An 'one erson
<br />S 5,000
<br />A
<br />72UUNOK7437
<br />04/01(2020
<br />04/01/2021
<br />GEML AGGREGATE LIMIT AP LIESPER:
<br />POLIO PM �LOC:
<br />OTHER:
<br />X ANY AUTO
<br />X ANY AUTO
<br />ACU OTE SCHEDULED
<br />A�Upr05 ONLY AUUTTOSSWNE❑
<br />X AUTOS ONLY X gI/TOg OryLy
<br />,rgsorygAa INJ IRY
<br />GENERALA ETE
<br />1,000,000
<br />2,000,000
<br />PRODUCTS •COMPIOP AGG
<br />$ 2,000,000
<br />EMS Ban,
<br />COMBIN�O SINGLE LIMIT
<br />E ece em
<br />BODILY INJURY (Per aereonl
<br />......_....
<br />0
<br />S 1,000,000
<br />b
<br />BOUI YINJURY Per acc(tltut
<br />P;I1OPEE% i MADE
<br />,,,,__
<br />S
<br />EACH bCUR EN
<br />AGGREGATE
<br />5
<br />b 2,000,000
<br />g 2,000,000
<br />A
<br />B
<br />X EX0 S$LAS CCCVft
<br />E%GBSS LI0.B CLAIMS MADE
<br />N!A
<br />X
<br />72HHUOK7438
<br />LAWC014309
<br />04/01/2020
<br />10/1112019
<br />04/01/2021
<br />1011-112020
<br />DEL) RETENTIONS
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />AAONNFY PROOIuPMREIIETT6OeeRRqIPARTNEWEXECUT'IVE
<br />(Mantlatc,Yln NNI EXCLUDED4 Y
<br />)( P R Thl
<br />STA TE
<br />S
<br />E. L. FACtI ACCIOE
<br />1,000,000
<br />IF es, tlsscribe urvler
<br />0 C IPi'1 .OPERA ONS
<br />E. IEEABE-EA EMPL yE
<br />11000,000
<br />L.DI ME -POLICY LIMIT
<br />j1AQO,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS f VEHHICLES (AGO" 101. AdtlRbnal Ranlatkc 8,N Pula, mey beseeched It prove space is scqulradl
<br />Pro ect Right of Way and Median 4,andscape Maintenance Services F FP#19.016 REVIEWED &,APPROVED
<br />**"*See Holder Notes attached for additional Information **"* By RISk MANAGEMENT DiVISlON
<br />CRRTIRICATC Un1
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic center Plaza
<br />Santa Ana, CA 92702
<br />ACORD 25 (2016103)
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />01988.2016 ACORD CORPORATION. All rights meerved.
<br />-- ,..a., q, c , ca,mo. ee nmrtts Or "V KU
<br />
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